| NPI | 1578805123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 555197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 555197) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-05-12 |